scholarly journals Study of clinical outcome of acromioclavicular joint injury type III-VI treated by EndoButton and threads in adults

2019 ◽  
Vol 6 (1) ◽  
pp. 187
Author(s):  
Raghvendra Chaubey ◽  
Deepak Kumar Mishra ◽  
Rajesh Jain
Keyword(s):  
Acromioclavicular Joint ◽  
Constant Score ◽  
Shoulder Injuries ◽  
Joint Injury ◽  
Physically Active ◽  
Rockwood Classification ◽  
Excellent Outcome ◽  
Type Iii ◽  
Joint Dislocations ◽  
Rockwood Type Iii

<p class="abstract"><strong>Background:</strong> Acromioclavicular joint dislocations are common in physically active young adults that too most common in persons who are participating in sports activities. Incidence is more in males who are participating in contact sports like rugby, basketball, hockey. It accounts for 9% of all shoulder injuries. Literature says the incidence is 3-4/1,00,000 population. The aim of the present study was<strong> </strong>to study the functional outcome of acromioclavicular joint after reconstruction of both acromioclavicular and coracoclavicular ligament using endo button system and to provide pain-free, mobile shoulder.</p><p class="abstract"><strong>Methods:</strong> In the present study, 15 patients were selected of age group 20-60 years. Acromioclavicular joint injuries are classified according to Rockwood classification and the findings from the physical examination and anteroposterior and axillary radiographs. All patients were treated as per status of injury level by either conservatively or operatively with open reduction and reconstruction of both ligament by using endo button thread system and its outcomes were assessed clinically and radiologically.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients were evaluated using American shoulder and elbow score (ASES) score and Constant shoulder score. Average ASES score was 90 (range 68.3-98.3) and constant score was 88 (range 63-96). According to constant score 7 patients had excellent outcome, 6 patients had good outcome, 2 patients had adequate outcome. All patients reported satisfaction with the treatment. The patients were followed upto 6 months.</p><p class="abstract"><strong>Conclusions:</strong> The technique proved to be effective in treating acute. Acromioclavicular joint dislocations (Rockwood type III-VI) with a high degree of patient satisfaction.</p>

scholarly journals A Comparison of the Modified Bosworth and Endobutton Techniques in the Surgical Treatment of Rockwood Type III Acromioclavicular Joint Dislocations

2019 ◽  
Vol 25 (1) ◽  
pp. 33-38
Author(s):  
Zekeriya Okan KARADUMAN ◽  
Zafer ORHAN ◽  
Yalçın TURHAN ◽  
Mehmet ARICAN ◽  
Erdem DEĞİRMENCİ ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Acromioclavicular Joint ◽  
Type Iii ◽  
Joint Dislocations ◽  
Rockwood Type Iii

scholarly journals Surgical Outcomes After Fixation of Acromioclavicular Joint Dislocation with Hook Plate and Coracoacromial Ligament Transfer Technique

2019 ◽  
Vol 7 (6) ◽  
pp. 1013-1015 ◽  
Author(s):  
Konstantin Mitev ◽  
Gorgi Zafiroski ◽  
Saso Mladenovski ◽  
Ljupco Nikolov
Keyword(s):  
Surgical Outcomes ◽  
Acromioclavicular Joint ◽  
Constant Score ◽  
Excellent Result ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Rockwood Classification ◽  
Coracoacromial Ligament ◽  
Joint Dislocations ◽  
Combined Technique

BACKGROUND: Treatment of acute and chronic acromioclavicular joint dislocations is still controversial. We aimed evaluation of surgical outcomes after using the combined technique with a hook plate and transposition of the coracoacromial ligament in the treatment of acromioclavicular dislocation. CASE PRESENTATION: During two years 4 patients (2 acute and 2 chronic cases) were operated with this technique. Three male and one female with an average 37 (26-43) years old were: three on the right and one of the left side. Rockwood classification was used. The evaluation was done according to Constant score - preoperatively, 3 months after the operation and 3 months after the titanium plate was removed. CONCLUSION: Evaluation of the effectiveness using this combined technique show excellent result in all four patients. No surgical site infection and the favourable cosmetic result were present.

scholarly journals Clinical and radiological results after coracoclavicular ligament reconstruction for type III acromioclavicular joint dislocation using three different techniques. A retrospective study

Joints ◽  
2015 ◽  
Vol 03 (02) ◽  
pp. 54-61 ◽  
Author(s):  
Alberto Vascellari ◽  
Stefano Schiavetti ◽  
Giuseppe Battistella ◽  
Enrico Rebuzzi ◽  
Nicolò Coletti
Keyword(s):  
Retrospective Study ◽  
Acromioclavicular Joint ◽  
Constant Score ◽  
Acromioclavicular Joint Dislocation ◽  
Dash Score ◽  
X Rays ◽  
Level Of Evidence ◽  
Type Iii ◽  
Joint Dislocations

Purpose: the purpose of this retrospective study was to present the outcomes of three different techniques for the treatment of type III acromioclavicular joint dislocations: arthroscopic TightRope (TR), arthroscopic GraftRope (GR), and open reconstruction of the coracoclavicular (CC) ligament using the Ligament Augmentation and Reconstruction System (LARS). Methods: eighteen patients underwent clinical and radiological evaluations after a mean follow-up time of 43 months. The following clinical outcome measures were considered: the Disability of the Arm, Shoulder and Hand outcome measure (DASH), the Nottingham Clavicle Score (NCS), and the Constant score (CS). On X-rays, the CC distance was measured. Results: the median DASH score at follow-up was 12.5 in the TR group, 5 in the GR group, and 4.2 in the LARS group. The median NCS value was 88 in the TR group, 88 in the GR group, and 91 in the LARS group. The median CS was 100 in the TR group, 95 in the GR group, and 94.5 in the LARS group. The mean CC distance was 10.3 mm in the TR group, 13.8 in the GR group, and 16.6 in the LARS group. Conclusions: all three techniques proved to be reliable in providing good clinical outcomes, although none of the studied techniques demonstrated reliability in maintaining anatomical reduction after surgery. Level of evidence: Level III, retrospective comparative study.

scholarly journals Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

2018 ◽  
Vol 21 (1) ◽  
pp. 48-55
Author(s):  
Seong Hun Kim ◽  
Kyoung Hwan Koh
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Operative Treatment ◽  
Acromioclavicular Joint ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Injury ◽  
Type Iii ◽  
Acromioclavicular Joint Injury ◽  
Rockwood Type Iii

While non-operative treatment with structured rehabilitation tends to be the strategy of choice in the management of Rockwood type III acromioclavicular joint injury, some advocate surgical treatment to prevent persistent pain, disability, and prominence of the distal clavicle. There is no clear consensus regarding when the surgical treatment should be indicated, and successful clinical outcomes have been reported for non-operative treatment in more than 80% of type III acromioclavicular joint injuries. Furthermore, there is no gold standard procedure for operative treatment of type III acromioclavicular joint injury, and more than 60 different procedures have been used for this purpose in clinical practice. Among these surgical techniques, recently introduced arthroscopic-assisted procedures involving a coracoclavicular suspension device are minimally invasive and have been shown to achieve successful coracoclavicular reconstruction in 80% of patients with failed conservative treatment. Taken together, currently available data indicate that successful treatment can be expected with initial conservative treatment in more than 96% of type III acromioclavicular injuries, whereas minimally invasive surgical treatments can be considered for unstable type IIIB injuries, especially in young and active patients. Further studies are needed to clarify the optimal treatment approach in patients with higher functional needs, especially in high-level athletes.

Surgery for Acromioclavicular Dislocation: Factors Affecting Functional Recovery

2017 ◽  
Vol 83 (12) ◽  
pp. 1427-1432
Author(s):  
Jun Zhang ◽  
Zhengran Ying ◽  
You Wang
Keyword(s):  
Functional Recovery ◽  
Constant Score ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Type Iii ◽  
Clavicular Hook Plate ◽  
Group A ◽  
Group B ◽  
Rockwood Type Iii ◽  
Shoulder Score

The objective of the study is to compare the clinical outcomes of two different interventions for Rockwood type III (or above) acromioclavicular dislocation and study the factors influencing postoperative functional recovery. A total of 60 patients with Rockwood type III (or above) acromioclavicular dislocation were included in the study. Patients were divided into two groups based on the surgical intervention: Clavicular Hook Plate Fixation (Group A) and EndoButton technique of Coracoclavicular Ligament Reconstruction (Group B). Constant shoulder score was employed for the assessment of functional recovery before and after the surgery. Statistical analysis was performed in terms of age, gender, obesity (body mass index), Constant shoulder score, compliance of rehabilitation guidance, and the amount of reduction loss. The Constant score was significantly improved after surgery (P < 0.05). The score was better in Group B compared with Group A in the sixth month after surgery (P < 0.05), but showed no significant difference in the fifteenth month. Compliance with rehabilitation guidance significantly affected the values of the Constant score after the surgery (P < 0.05). Clavicular Hook Plate and EndoButton technique both are effective ways to treat Rockwood type III (or above) acromioclavicular dislocation. However, EndoButton technique is more effective for early functional recovery. Patients’ compliance with rehabilitation guidance is critical for the functional recovery after surgery.

scholarly journals Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate

2020 ◽  
Vol 5 (1) ◽  
pp. 45-52
Author(s):  
Pabin Thapa ◽  
Krishna Sapkota ◽  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
Krishna Wahegaonkar ◽  
...  
Keyword(s):  
Open Reduction ◽  
Implant Removal ◽  
Hook Plate ◽  
Ac Joint ◽  
Rockwood Classification ◽  
Joint Dislocation ◽  
Type Iii ◽  
Ac Joint Dislocation ◽  
Clavicular Hook Plate ◽  
Rockwood Type Iii

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points). Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair

scholarly journals Treatment of acute high-grade acromioclavicular joint dislocation

2020 ◽  
Vol 23 (3) ◽  
pp. 159-165
Author(s):  
Jeung Yeol Jeong ◽  
Yong-Min Chun
Keyword(s):  
Standard Procedure ◽  
High Energy ◽  
Acromioclavicular Joint Dislocation ◽  
High Grade ◽  
Shoulder Injuries ◽  
Ac Joint ◽  
Joint Injury ◽  
Joint Dislocation ◽  
Treatment Type ◽  
Joint Dislocations

Acromioclavicular (AC) joint dislocations account for about 9% of shoulder injuries. Among them, acute high-grade injury following high-energy trauma accounts for a large proportion of patients requiring surgical treatment. However, there is no gold standard procedure for operative treatment of acute high-grade AC joint injury, and several different procedures have been used for this purpose in clinical practice. This review article summarizes the most recent and relevant surgical options for acute high-grade AC joint dislocation patients and the outcomes of each treatment type.

scholarly journals Recurrent acromioclavicular joint dislocation with an associated coracoid fracture following acromioclavicular joint reconstruction

2020 ◽  
Vol 102 (6) ◽  
pp. e136-e140
Author(s):  
M Karia ◽  
N Al-Hadithy ◽  
G Tytherleigh-Strong
Keyword(s):  
Acromioclavicular Joint ◽  
High Strength ◽  
Shoulder Girdle ◽  
Coracoid Process ◽  
Acromioclavicular Joint Dislocation ◽  
Shoulder Injuries ◽  
Overhead Athletes ◽  
Joint Dislocations ◽  
Synthetic Ligament ◽  
Acromioclavicular Joint Instability

Acromioclavicular joint injuries are common and account for up to 12% of all shoulder girdle injuries and have been reported as being as high as 50% in sports-related shoulder injuries. While the majority of acromioclavicular joint dislocations can be treated non-operatively, there are certain injury configurations, which can include high-grade dislocations in overhead athletes, where surgery may be indicated. The surgical management of acromioclavicular joint instability has moved towards recreating the action of the coracoclavicular ligaments by resuspending the clavicle on to the coracoid. Multiple techniques using high-strength sutures, synthetic ligaments, tendon allografts or autografts passed either around or through the coracoid process have been described. However, an unusual, but significant, complication associated with these techniques is an iatrogenic fracture of the coracoid process. We report the case of a patient with an iatrogenic coracoid fracture following two failed acromioclavicular joint resuspensory reconstructions using a synthetic ligament. This injury was successfully treated with an autologous hamstring graft reconstruction, initially protected with a hook plate.

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